| Abdominal Hysterectomy | $20,842$397$21k | $48,663 | $2,212 |
| Basic Metabolic Panel | $10$8$52 | $34 | $61 |
| Bone Marrow Biopsy | $6,881$1.0k$6.9k | $1,277 | $2,323 |
| Breast Biopsy (Ultrasound-guided) | $6,881$1.8k$12k | $4,006 | $7,284 |
| Bunion Correction Surgery | $13,633$3.6k$14k | $21,278 | — |
| Cardiac Ablation for Atrial Fibrillation | $108,902$4.5k$109k | $33,783 | $29,861 |
| Cardiac Catheterization (Left Heart) | $13,507$3.6k$15k | $13,627 | $16,161 |
| Carpal Tunnel Release Surgery | $8,136$2.2k$8.1k | $13,986 | $1,198 |
| Cervical Spinal Fusion (Anterior) | $53,492$14k$53k | $35,626 | $2,180 |
| Cesarean Delivery (Global Package) | $1,295$37$5.9k | $5,709 | $5,709 |
| Chemotherapy Infusion (First Hour) | $1,376$366$1.9k | $1,250 | $2,273 |
| Chest X-ray (2 Views) | $363$48$13k | $591 | $658 |
| Colonoscopy with Biopsy | $4,986$1.3k$5.0k | $12,781 | $1,205 |
| Complete Abdominal Ultrasound | $436$116$781 | $505 | $919 |
| Complete Blood Count (CBC) with Differential | $6,559$1.7k$13k | $7,888 | $62 |
| Comprehensive Metabolic Panel | $12$9$64 | $41 | $75 |
| Coronary Angioplasty with Stent | $48,098$13k$48k | $26,389 | $26,303 |
| Critical Care, First Hour | $3,442$915$5.7k | $2,325 | $4,228 |
| CT Abdomen and Pelvis with Contrast | $564$451$838 | $3,254 | $3,171 |
| CT Cardiac Calcium Scoring | $363$96$455 | $151 | $275 |
| CT Chest without Contrast | $436$116$900 | $1,713 | $1,504 |
| CT Head without Contrast | $195$55$13k | $14,884 | $1,393 |
| DEXA Bone Density Scan | $436$63$647 | $419 | $761 |
| Diagnostic Colonoscopy | $3,875$1.0k$3.9k | $3,775 | $700 |
| Diagnostic Mammogram (Both Breasts) | $136$106$962 | $623 | $1,132 |
| Ear Tube Placement (Tympanostomy) | $6,510$1.7k$25k | $16,732 | — |
| Echocardiogram (Complete with Doppler) | $2,277$545$2.5k | $1,598 | $2,905 |
| EKG (Electrocardiogram, 12-lead) | $19$14$328 | $212 | $386 |
| Emergency Room Visit (Level 3) | $1,137$302$5.7k | $1,444 | $2,105 |
| Hemoglobin A1c (Diabetes Test) | $11$9$56 | $36 | $66 |
| HIV Antibody Test | $10$6$23 | $15 | $27 |
| Home Sleep Study | $536$239$3.7k | $907 | $1,649 |
| Individual Therapy Session (45 Minutes) | $232$188$341 | $188 | $341 |
| Inguinal Hernia Repair (Open) | $14,918$4.0k$15k | $16,272 | $764 |
| Initial Hospital Admission (Level 1) | $68$48$218 | $197 | $197 |
| Initial Psychiatric Diagnostic Evaluation | $330$197$485 | $267 | $485 |
| Initial Psychiatric Evaluation with Medication Management | $389$197$572 | $315 | $572 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,302$760$3.5k | $1,918 | $3,488 |
| IUD Insertion | $13,487$3.6k$13k | $21,864 | $107 |
| IUD Removal | $13,487$3.6k$13k | $17,582 | $478 |
| Knee Arthroscopy with Meniscectomy | $13,633$3.6k$14k | $18,734 | — |
| Laparoscopic Appendectomy | $25,188$6.7k$25k | $24,372 | $1,324 |
| Laparoscopic Gallbladder Removal | $25,188$6.7k$25k | $24,408 | $1,451 |
| Laparoscopic Tubal Ligation | $25,188$6.7k$25k | $28,024 | $1,413 |
| Lipid Panel (Cholesterol Test) | $15$12$80 | $52 | $94 |
| Lumbar Epidural Steroid Injection | $2,941$782$2.9k | $3,059 | $3,579 |
| Lumbar Puncture (Spinal Tap) | $2,941$782$2.9k | $1,133 | $2,060 |
| Lumbar Spinal Fusion (Posterior) | $73,054$19k$73k | $47,714 | $3,488 |
| Lumpectomy (Partial Mastectomy) | $16,313$4.3k$28k | $21,365 | $1,451 |
| MRI Abdomen with and without Contrast | $1,454$386$3.4k | $2,210 | $4,018 |
| MRI Brain with and without Contrast | $1,454$386$4.3k | $2,754 | $5,008 |
| MRI Brain with Contrast | $1,454$386$2.6k | $1,671 | $3,039 |
| MRI Brain without Contrast | $436$63$994 | $1,121 | $2,656 |
| MRI Cervical Spine (Neck) without Contrast | $994$256$2.3k | $1,509 | $2,743 |
| MRI Knee without Contrast | $994$264$1.7k | $1,775 | $3,228 |
| MRI Lower Back (Lumbar Spine) without Contrast | $994$257$2.3k | $1,509 | $2,743 |
| MRI Thoracic Spine (Mid-back) without Contrast | $994$255$2.3k | $1,509 | $2,743 |
| Newborn Circumcision | $8,709$389$8.7k | $388 | $706 |
| Nuclear Cardiac Stress Test | $5,394$737$5.4k | $3,397 | $6,177 |
| Office Visit, Established Patient (Level 3) | $123$59$161 | $149 | $237 |
| Office Visit, New Patient (Level 3) | $73$46$292 | $234 | $234 |
| Pacemaker Insertion (Dual Chamber) | $43,548$12k$48k | $23,374 | $18,323 |
| PET/CT Scan, Whole Body | $5,958$1.6k$8.6k | $5,541 | $10,075 |
| Pregnancy Ultrasound (Second or Third Trimester) | $436$116$804 | $520 | $946 |
| Prostate Biopsy | $8,709$58$8.7k | $14,411 | — |
| PSA Prostate Cancer Screening | $21$16$107 | $69 | $126 |
| Pulmonary Function Test with Bronchodilator | $900$212$939 | $480 | $872 |
| Rotator Cuff Repair (Arthroscopic) | $30,233$8.0k$30k | $35,967 | — |
| Screening Mammogram | $112$87$794 | $450 | $818 |
| Septoplasty (Deviated Septum Repair) | $13,814$3.7k$14k | $18,401 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $29,404$7.8k$29k | $26,080 | — |
| Skin Biopsy (Tangential) | $836$450$1.0k | $670 | $463 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $6,881$1.8k$6.9k | $13,456 | — |
| Sleep Study (In-lab Polysomnography) | $3,578$951$5.6k | $3,253 | $5,914 |
| Spinal Cord Stimulator Trial | $26,553$7.1k$27k | $19,829 | $22,139 |
| Spirometry (Breathing Test) | $536$128$544 | $318 | $578 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $13,814$3.7k$14k | $15,053 | — |
| Total Hip Replacement | $53,492$14k$53k | $37,577 | $2,825 |
| Total Knee Replacement | $53,492$14k$53k | $45,141 | $903 |
| Total Mastectomy | $27,666$7.4k$57k | $49,767 | $2,105 |
| TSH Thyroid Function Test | $19$15$122 | $79 | $144 |
| TURP (Transurethral Prostate Resection) | $22,340$5.9k$22k | $21,656 | $2,190 |
| Upper GI Endoscopy (EGD) | $3,779$1.0k$3.8k | $6,566 | $267 |
| Urinalysis with Microscopy | $7$3$554 | $1,535 | $10 |
| Vaginal Delivery (Global Package) | $1,306$518$5.6k | $5,416 | $5,416 |
| Vaginal Hysterectomy | $30,896$8.2k$31k | $32,208 | $1,821 |
| Vitamin D Blood Test | $34$26$156 | $101 | $183 |